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Ozbek M, Ildirimli K, Arik B, Aktan A, Coskun MS, Evsen A, Guzel T, Acet H, Demira M. Dependence of clinical outcomes on time of hospital admission in patients with ST-segment elevation myocardial infarction. Ann Saudi Med 2023; 43:25-34. [PMID: 36739499 PMCID: PMC9899343 DOI: 10.5144/0256-4947.2023.25] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND There are conflicting results in studies investigating the effects of percutaneous coronary intervention (PCI) on the prognosis of patients with ST-segment elevation myocardial infarction (STEMI) during or outside of usual hospital working hours. While some researchers have reported higher mortality rates in STEMI patients admitted outside of working hours, others did not find a statistically significant difference. OBJECTIVES Investigate the short-term endpoints and long-term outcomes of STEMI patients by time of admission. DESIGN Retrospective SETTING: Tertiary percutaneous coronary intervention center. PATIENTS AND METHODS Patients were grouped by admission, which consisted of four intervals: 06:00 to <12:00, 12:00 to <18:00, 18:00 to <24:00, and 24:00 to <06:00. We analyzed demographic, clinical and mortality by admission time interval and mortality by multivariate analyses, including the time intervals. MAIN OUTCOME MEASURES Clinical data and mortality SAMPLE SIZE: 735 patients; median (IQR) age 62 (22) years; 215 (29.3%) women. RESULTS Patients admitted at night were 1.37 times more likely to experience pulmonary edema than patients whose symptoms started in the daytime (P=.012); 32.9% of the patients whose symptoms started at night presented with Killip class II-IV, while during the daytime, 21.4% presented with Killip class II-IV (P=.001). Among the patients, the most common was inferior STEMI (38.6%). However, no-reflow was significantly higher during the daytime compared to the nighttime (P=.12). The risk of the cardiac arrest on admission was 1.2 times higher in patients admitted at night (P=.034). Neither time interval of admission nor several other variables had an effect on clinical outcome or mortality. CONCLUSIONS While patients admitted at night presented with pulmonary edema and cardiogenic shock more frequently, no reflow was observed during the day after the procedure. Although patients admitted at night with STEMI presented with worse clinical conditions, similar results were observed between the groups in clinical outcomes. LIMITATIONS More "real world" results might have been obtained if the study had replicated more typical referral conditions for PCI. CONFLICT OF INTEREST None.
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Affiliation(s)
- Mehmet Ozbek
- From the Department of Cardiology, Dicle University, Diyarbakir, Turkiye
| | - Kamran Ildirimli
- From the Department of Cardiology, Dicle University, Diyarbakir, Turkiye
| | - Baran Arik
- From the Department of Cardiology, Dicle University, Diyarbakir, Turkiye
| | - Adem Aktan
- From the Department of Cardiology, Dicle University, Diyarbakir, Turkiye
| | - Mehmet Sait Coskun
- From the Department of Cardiology, Dicle University, Diyarbakir, Turkiye
| | - Ali Evsen
- From the Department of Cardiology, Dicle University, Diyarbakir, Turkiye
| | - Tuncay Guzel
- From the Department of Cardiology, Dicle University, Diyarbakir, Turkiye
| | - Halit Acet
- From the Department of Cardiology, Dicle University, Diyarbakir, Turkiye
| | - Muhammed Demira
- From the Department of Cardiology, Dicle University, Diyarbakir, Turkiye
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Bilik MZ, Oylumlu M, Oylumlu M, Acun B, Arik B, Arslan B, Acet H, Polat N, Akil MA. Novel predictor of pulmonary arterial hypertension: Monocyte to HDL cholesterol ratio. Medicine (Baltimore) 2022; 101:e29973. [PMID: 36042653 PMCID: PMC9410685 DOI: 10.1097/md.0000000000029973] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
Monocyte to HDL cholesterol ratio (MHR), lymphocyte to monocyte ratio (LMR), and neutrophil to lymphocyte ratio (NLR) have been proposed as novel systemic inflammatory markers. The aim of this study was to explore the association between MHR, LMR and NLR with pulmonary arterial hypertension (PAH). The study is a single-center, retrospective Cross-sectional study. The study group consisted of 73 patients with PAH and the control group 77 participants without cardiac pathology as determined by echocardiography. On admission, blood sampling to calculate MHR, LMR, NLR, and detailed clinical data were obtained. According to the Pearson test, systolic pulmonary artery pressure (PAP) value Higher MHR, NLR and lower LMR that indicates an enhanced inflammation were significantly increased in patients with PAH when compared with controls. Compared to many other inflammatory markers, these markers are widely available. positively correlated with the MHR and NLR (r:.35, P < .001 and r:.33, P < .001, respectively), but negatively correlated with LMR (r: -.26, P = .001). After multivariate logistic regression analysis, MHR, LMR, and NLR remained as significant predictors of PAH (OR: 2.651, 95% CI: 1.227-5.755, P = .007; OR: 0.647, 95% CI:0.450-0.931, P = .005; OR: 1.350, 95% CI: 1.054-1.650 P = .030, respectively).
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Affiliation(s)
- Mehmet Zihni Bilik
- Department of Cardiology, Dicle University Faculty of Medicine, Diyarbakir, Turkey
- *Correspondence: Mehmet Zihni Bilik, Department of Cardiology, Dicle University Faculty of Medicine, Diyarbakir, Turkey (e-mail: )
| | - Muhammed Oylumlu
- Department of Cardiology, Dicle University Faculty of Medicine, Diyarbakir, Turkey
| | - Mustafa Oylumlu
- Department of Cardiology, Dicle University Faculty of Medicine, Diyarbakir, Turkey
| | - Baris Acun
- Department of Cardiology, Dicle University Faculty of Medicine, Diyarbakir, Turkey
| | - Baran Arik
- Department of Cardiology, Dicle University Faculty of Medicine, Diyarbakir, Turkey
| | - Bayram Arslan
- Department of Cardiology, Dicle University Faculty of Medicine, Diyarbakir, Turkey
| | - Halit Acet
- Department of Cardiology, Dicle University Faculty of Medicine, Diyarbakir, Turkey
| | - Nihat Polat
- Department of Cardiology, Dicle University Faculty of Medicine, Diyarbakir, Turkey
| | - Mehmet Ata Akil
- Department of Cardiology, Dicle University Faculty of Medicine, Diyarbakir, Turkey
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Akıl MA, Oylumlu M, Oylumlu M, Demir M, Ozbek M, Polat N, Acet H, Bilik MZ. Predictive value of lymphocyte to monocyte ratio for cardiac syndrome X. Eur Rev Med Pharmacol Sci 2022; 26:4303-4308. [PMID: 35776031 DOI: 10.26355/eurrev_202206_29069] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
OBJECTIVE Cardiac syndrome X (CSX) is typically described with ischemia in stress tests in addition to angina-like chest pain and without stenosis in coronary angiography. We aimed at determining the relationship between LMR and CSX. PATIENTS AND METHODS We retrospectively collected patients with CSX between January 2016 and December 2019. Patients with typical angina-like chest pain, normal 12-lead electrocardiography at rest, a positive response to the exercise test (> 0.1 mV ST-segment depression at 80 ms after the J point in two or more contiguous leads) or ischemia on myocardial perfusion scintigraphy and normal coronary angiography were included in the study as CSX patients. RESULTS This study consisted of 116 patients with CSX and 153 control groups. The mean age of the patients with CSX was 52.7±9.7 years, and the mean age of the control group was 53.7±10.6 years (p= 0.416). The patients with CSX were more likely to have higher monocyte counts and LMR. According to the Pearson correlation test, the CRP value negatively correlated with the LMR. In multivariate logistic regression analysis, LMR remained a significant predictor of CSX. In ROC analysis, LMR < 4.1 had 64% sensitivity and 50% specificity (ROC area under curve: 0.587, 95% CI: 0.519-0.655, p=0.015) in accurately predicting a CSX diagnosis. CONCLUSIONS We showed that lower LMR levels were associated with the presence of CSX.
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Affiliation(s)
- M A Akıl
- Department of Cardiology, Faculty of Medicine, Dicle University, Diyarbakır, Turkey.
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Acet H, Güzel T, Aslan B, Isik MA, Ertas F, Catalkaya S. Predictive Value of C-Reactive Protein to Albumin Ratio in ST-Segment Elevation Myocardial Infarction Patients Treated With Primary Percutaneous Coronary Intervention. Angiology 2020; 72:244-251. [PMID: 33371718 DOI: 10.1177/0003319720963697] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
The present study aimed to examine the association of C-reactive protein to albumin ratio (CAR) with short-term major adverse cardiac events (MACEs) in ST-segment elevation myocardial infarction (STEMI) patients undergoing primary percutaneous coronary intervention (pPCI). We included 539 STEMI patient treated with pPCI in this study. Patients were divided into 2 groups according to MACE development. Patients with MACE had higher CAR than those without (1.18 [0.29-1.99] vs 0.21 [0.09-0.49], P < .001). Multivariate analysis showed that The Global Record for Acute Coronary Events score, Percutaneous Coronary Intervention with TAXus and cardiac surgery (SYNTAX) score, glucose and CAR (odds ratio:1.326, 95% CI: 1.212-1452, P < .001) were independent predictors of MACE. The CAR may be proven useful for risk stratification in STEMI patients undergoing pPCI.
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Affiliation(s)
- Halit Acet
- Department of Cardiology, Faculty of Medicine, 37507Dicle University, Diyarbakir, Turkey
| | - Tuncay Güzel
- Department of Cardiology, Akhisar State Hospital, Manisa, Turkey
| | - Bayram Aslan
- Department of Cardiology, Ergani State Hospital, Diyarbakir, Turkey
| | - Mehmet Ali Isik
- Department of Cardiology, 37507Mardin State Hospital, Mardin, Turkey
| | - Faruk Ertas
- Department of Cardiology, Faculty of Medicine, 37507Dicle University, Diyarbakir, Turkey
| | - Sibel Catalkaya
- Department of Cardiology, Edremit State Hospital, Edremit, Turkey
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Bilik MZ, Kara AF, Göğebakan B, Akıl MA, Özyurtlu F, Acet H, Alan S. The Association Between MGP Gene Polymorphisms and Coronary Artery Disease. J Clin Exp Invest 2016. [DOI: 10.5799/jcei.328614] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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Abstract
Rheumatic mitral valve stenosis (RMS) is a complication of rheumatic heart disease (RHD) and leads to significant morbidity and mortality. RHD is a chronic inflammatory and autoimmune disease that is associated with cytokine activities. The etiology of RMS is not fully understood yet. Interleukin (IL)-17 and IL-23 have a key role in development of the autoimmunity. The expression of these cytokines in RMS remains unclear. In this study, we investigated the serum levels of IL-17 and IL-23 in RMS patients compared to healthy subjects.A total of 35 patients admitted to cardiology outpatient clinic between December 2014 and May 2015 who were diagnosed with RMS formed the study group. Age- and gender-matched 35 healthy subjects were included as the control group. Statistical analyses were performed using SPSS 18.0 and P value <0.05 was considered as statistically significant.The patients with RMS had higher WBC count, hsCRP, systolic pulmonary artery pressure (PAPs), left atrial diameter (LAD), IL-17, and IL-23 levels compared to the control subjects. The levels of IL-17 (P = 0.012) and IL-23 (P = 0.004) were significantly higher in the RMS group. Correlation analysis revealed that IL-17 and IL-23 levels had a significant correlation with each other and with hsCRP and LAD.We demonstrated that serum levels of IL-17 and IL-23 are significantly higher in patients with RMS compared to those of healthy subjects. IL-17 and IL-23 expression may have a possible role in inflammatory processes that result in RMS development.
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Affiliation(s)
- Mehmet Zihni Bilik
- From the Faculty of Medicine, (MZB, NP, MAA, HA, MY, NT), Department of Cardiology; Faculty of Medicine (IK), Department of Biochemistry, Dicle University; Gazi Yaşargil Educational and Research Hospital (AA), Clinic of Cardiology; Bismil State Hospital (UI), Clinic of Cardiology, Diyarbakir (UI); and Mardin State Hospital (FK), Clinic of Cardiology, Mardin, Turkey
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Acet H, Ertaş F, Akil MA, Bilik MZ, Aydin M, Polat N, Yildiz A. The utility of the TIMI risk index on admission for predicting angiographic no-reflow after primary percutaneous coronary intervention in patients with STEMI. Turk J Med Sci 2016; 46:604-13. [PMID: 27513233 DOI: 10.3906/sag-1411-157] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2014] [Accepted: 05/14/2015] [Indexed: 11/03/2022] Open
Abstract
BACKGROUND/AIM The thrombolysis in myocardial infarction (TIMI) risk score (TRS), and the TIMI risk index (TRI) have been reported in coronary artery disease patients. We investigated whether admission TRI is associated with no-reflow (NRF) in patients undergoing primary percutaneous coronary intervention (p-PCI). MATERIALS AND METHODS ST-segment elevation myocardial infarction (STEMI) patients treated with p-PCI were included in the study. TRI was calculated on admission using specified variables. We defined the angiographic NRF phenomenon as a coronary TIMI flow grade of ≤2 after the vessel was recanalized or a TIMI flow grade of 3 together with a final myocardial blush grade (MBG) of <2 in a manner as described in previous studies. RESULTS A total of 371 patients (aged 62 ± 14 years; 73/27 men to women ratio) who underwent p-PCI were enrolled in the study. In terms of age, NRF patients were older than reflow patients (P < 0.017 for MBG). Killip class III-IV designations were more common in NRF patients (P = 0.029 for MBG). TRI (P = 0.014 for MBG) values were significantly greater in the NRF group. TRI was an independent predictor of NRF according to MBG flow (P = 0.003, B = -0.035, Exp B = 0966, 95% CI, 0.944-0.988). CONCLUSION Admission TRI may predict the development of NRF phenomenon after p-PCI in patients with acute STEMI.
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Affiliation(s)
- Halit Acet
- Murat YÜKSEL, Leyla ÇİFTÇİ, Necdet ÖZAYDOĞDU, Mehmet ÖZBEK, Sait ALAN, Nizamettin TOPRAKDepartment of Cardiology, Faculty of Medicine, Dicle Universty, Diyarbakır, Turkey
| | - Faruk Ertaş
- Murat YÜKSEL, Leyla ÇİFTÇİ, Necdet ÖZAYDOĞDU, Mehmet ÖZBEK, Sait ALAN, Nizamettin TOPRAKDepartment of Cardiology, Faculty of Medicine, Dicle Universty, Diyarbakır, Turkey
| | - Mehmet Ata Akil
- Murat YÜKSEL, Leyla ÇİFTÇİ, Necdet ÖZAYDOĞDU, Mehmet ÖZBEK, Sait ALAN, Nizamettin TOPRAKDepartment of Cardiology, Faculty of Medicine, Dicle Universty, Diyarbakır, Turkey
| | - Mehmet Zihni Bilik
- Murat YÜKSEL, Leyla ÇİFTÇİ, Necdet ÖZAYDOĞDU, Mehmet ÖZBEK, Sait ALAN, Nizamettin TOPRAKDepartment of Cardiology, Faculty of Medicine, Dicle Universty, Diyarbakır, Turkey
| | - Mesut Aydin
- Murat YÜKSEL, Leyla ÇİFTÇİ, Necdet ÖZAYDOĞDU, Mehmet ÖZBEK, Sait ALAN, Nizamettin TOPRAKDepartment of Cardiology, Faculty of Medicine, Dicle Universty, Diyarbakır, Turkey
| | - Nihat Polat
- Murat YÜKSEL, Leyla ÇİFTÇİ, Necdet ÖZAYDOĞDU, Mehmet ÖZBEK, Sait ALAN, Nizamettin TOPRAKDepartment of Cardiology, Faculty of Medicine, Dicle Universty, Diyarbakır, Turkey
| | - Abdulkadir Yildiz
- Murat YÜKSEL, Leyla ÇİFTÇİ, Necdet ÖZAYDOĞDU, Mehmet ÖZBEK, Sait ALAN, Nizamettin TOPRAKDepartment of Cardiology, Faculty of Medicine, Dicle Universty, Diyarbakır, Turkey
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Ertaş F, Çevik MU, Aluçlu MU, Acet H, Özdemir HH, Karahan O, Polat N, Aktaş G. Carotid Artery Stenting: Retrospective Evaluation of Experience of an Invasive Tertiary Center. Dicle Med J 2016. [DOI: 10.5798/diclemedj.0921.2016.01.0654] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Akil MA, Bilik MZ, Yildiz A, Acet H, Ertas F, Simsek H, Polat N, Zengin H, Akilli R, Agacayak E, Kayan F, Ozdemir M, Alan S. Peripartum cardiomyopathy in Turkey: Experience of three tertiary centres. J OBSTET GYNAECOL 2016; 36:574-80. [DOI: 10.3109/01443615.2015.1107531] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Affiliation(s)
- Mehmet Ata Akil
- Department of Cardiology, Faculty of Medicine, Dicle University, Diyarbakir, Turkey,
| | - Mehmet Zihni Bilik
- Department of Cardiology, Faculty of Medicine, Dicle University, Diyarbakir, Turkey,
| | - Abdulkadir Yildiz
- Department of Cardiology, Faculty of Medicine, Dicle University, Diyarbakir, Turkey,
| | - Halit Acet
- Department of Cardiology, Faculty of Medicine, Dicle University, Diyarbakir, Turkey,
| | - Faruk Ertas
- Department of Cardiology, Faculty of Medicine, Dicle University, Diyarbakir, Turkey,
| | - Hakki Simsek
- Department of Cardiology, Faculty of Medicine, Yuzuncu Yıl University, Van, Turkey,
| | - Nihat Polat
- Department of Cardiology, Faculty of Medicine, Dicle University, Diyarbakir, Turkey,
| | - Halit Zengin
- Department of Cardiology, Faculty of Medicine, Ondokuz Mayis University, Samsun, Turkey,
| | - Rabia Akilli
- Department of Cardiology, Faculty of Medicine, Cukurova University, Adana, Turkey, and
| | - Elif Agacayak
- Department of Obstetrics and Gynecology, Faculty of Medicine, Dicle University, Diyarbakir, Turkey
| | - Fethullah Kayan
- Department of Cardiology, Faculty of Medicine, Dicle University, Diyarbakir, Turkey,
| | - Mahmut Ozdemir
- Department of Cardiology, Faculty of Medicine, Yuzuncu Yıl University, Van, Turkey,
| | - Sait Alan
- Department of Cardiology, Faculty of Medicine, Dicle University, Diyarbakir, Turkey,
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Aydin M, Yuksel M, Yildiz A, Polat N, Bilik MZ, Akil MA, Acet H, Demir M, Inci U, Toprak N. Association between the neutrophil to lymphocyte ratio and prehypertension. ACTA ACUST UNITED AC 2015; 116:475-9. [PMID: 26350086 DOI: 10.4149/bll_2015_090] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
OBJECTIVES To explore the neutrophil-lymphocyte ratio (NLR) in patients with prehypertension (PHT). BACKGROUND Inflammation plays an important role in the development of cardiovascular diseases. A pathophysiological link also exists between inflammation and PHT. NLR is a simple marker for the assessment of inflammatory status. There is a lack of data regarding the association between NLR and pre-hypertensive state. METHODS The present cross-sectional study included 33 newly diagnosed PHT patients and 35 normotensive control subjects. Prehypertension was defined as a systolic blood pressure (BP) of 120-139 mm Hg and/or a diastolic BP of 80-89 mm Hg. RESULTS Patients were divided into tertiles based on NLR values: 1.17 (0.9-1.42) in tertile 1; 1.57 (1.43-1.78) in tertile 2; and 2.40 (1.82-4.5) in tertile 3. The frequency of PHT was significantly higher for patients in the upper NLR tertile compared to the middle and lower NLR tertiles (21 (91.3%), 7 (30.4%), and 5 (22.7%), respectively; p<0.001). Systolic BP and diastolic BP were significantly higher among patients in the upper NLR tertile than among those in the other NLR tertiles. CONCLUSION An association exists between PHT and NLR. NLR measurement, as well as monocyte count, may be used to indicate increased risk of prehypertension (Tab. 2, Ref. 48).
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Polat N, Yıldız A, Bilik MZ, Aydın M, Acet H, Kaya H, Demir M, Işık MA, Alan S, Toprak N. The importance of hematologic indices in the risk stratification of patients with acute decompensated systolic heart failure. Turk Kardiyol Dern Ars 2015; 43:157-65. [PMID: 25782120 DOI: 10.5543/tkda.2015.76281] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
OBJECTIVES In patients with heart failure, a variety of hemogram parameters are known to be of prognostic significance. This study aimed to investigate which of these parameters is/are useful in predicting one-year all-cause mortality in patients with acute decompensated heart failure (ADHF). STUDY DESIGN Patients who were hospitalized between September 2012-March 2013 in our hospital with systolic-ADHF with ejection fraction ≤40%, symptoms, and findings of congestion were enrolled retrospectively in the study. The study population was divided into two groups based on one-year-mortality. RESULTS 119 patients with ADHF (mean-age 67±14 years; 55% male) were enrolled in the study. One-year-mortality occurred in 29% of patients. Hemoglobin levels, platelet, basophil and lymphocyte counts were significantly lower, while red-cell distribution width (RDW) was found to be significantly higher in the one-year-mortality group. Neutrophil, monocyte, and eosinophil counts were similar in the two groups. Furthermore, lower estimated glomerular-filtration-rate (eGFR) and unused angiotensin-converting enzyme inhibitors/angiotensin receptor blockers (ACEI/ARB) were associated with mortality. Age, presence of hypertension, right-ventricular diameter, eGFR, ACE/ARB treatment, hemoglobin levels, RDW and platelet, leukocyte, lymphocyte, basophil, neutrophil, monocyte, and eosinophil-counts were found to have prognostic significance in univariate analysis. In multivariate analysis, decreased platelet, lymphocyte-counts and hemoglobin level on admission and unused ACE/ARB treatment at discharge (p<0.05) were found to be independent factors predicting one-year-mortality. CONCLUSION Among hematological indices; hemoglobin level, platelet and lymphocyte counts are readily available, useful and inexpensive markers for the prediction of one-year all-cause mortality in ADHF patients.
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Affiliation(s)
- Nihat Polat
- Department of Cardiology, Dicle University Faculty of Medicine, Diyarbakır, Turkey.
| | - Abdulkadir Yıldız
- Department of Cardiology, Dicle University Faculty of Medicine, Diyarbakır, Turkey
| | - Mehmet Zihni Bilik
- Department of Cardiology, Dicle University Faculty of Medicine, Diyarbakır, Turkey
| | - Mesut Aydın
- Department of Cardiology, Dicle University Faculty of Medicine, Diyarbakır, Turkey
| | - Halit Acet
- Department of Cardiology, Dicle University Faculty of Medicine, Diyarbakır, Turkey
| | - Hasan Kaya
- Department of Cardiology, Dicle University Faculty of Medicine, Diyarbakır, Turkey
| | - Muhammed Demir
- Department of Cardiology, Dicle University Faculty of Medicine, Diyarbakır, Turkey
| | - Mehmet Ali Işık
- Department of Cardiology, Dicle University Faculty of Medicine, Diyarbakır, Turkey
| | - Sait Alan
- Department of Cardiology, Dicle University Faculty of Medicine, Diyarbakır, Turkey
| | - Nizamettin Toprak
- Department of Cardiology, Dicle University Faculty of Medicine, Diyarbakır, Turkey
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Özyurtlu F, Acet H, Özpelit ME, Pekel N. Optimal treatment of unligated side branch of internal mammary artery: Coil, amplatzer vascular plug or graft stent? A case report and literature review. Turk Kardiyol Dern Ars 2015; 43:376-80. [PMID: 26142793 DOI: 10.5543/tkda.2015.43826] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Coronary artery steal syndromes may occur following coronary artery bypass grafting as a result of the presence of large side-branches arising from the internal mammary artery (IMA). Coil embolization, Amplatzer Vascular Plug and graft stents are all used for the treatment of such syndromes. The literature contains limited data on the long-term success of these treatment methods. There is no large series regarding occluded IMA side branches causing coronary steal phenomena, and data on long-term follow-up of this treatment method is also very limited. This report presented two cases and their treatment, and reviewed the advantages and disadvantages of treatment methods and the factors that affect successful treatment.
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Affiliation(s)
- Ferhat Özyurtlu
- Deparment of Cardiology, Special Grand Medical Hospital, Manisa, Turkey
| | - Halit Acet
- Deparment of Cardiology, Dicle University Faculty of Medicine, Diyarbakır, Turkey
| | - Mehmet Emre Özpelit
- Deparment of Cardiology, İzmir University Faculty of Medicine, Medical Park Hospital, İzmir, Turkey
| | - Nihat Pekel
- Deparment of Cardiology, İzmir University Faculty of Medicine, Medical Park Hospital, İzmir, Turkey
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Bilik MZ, Kaplan İ, Yıldız A, Akıl MA, Acet H, Yüksel M, Polat N, Aydın M, Oylumlu M, Ertaș F, Kaya H, Alan S. Apelin Levels In Isolated Coronary Artery Ectasia. Korean Circ J 2015; 45:386-90. [PMID: 26413106 PMCID: PMC4580697 DOI: 10.4070/kcj.2015.45.5.386] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2014] [Revised: 03/18/2015] [Accepted: 05/07/2015] [Indexed: 01/16/2023] Open
Abstract
Background and Objectives The etiopathogenesis of coronary artery ectasia (CAE) is not known completely. In most of the cases, CAE is associated with atherosclerosis; however, isolated CAE has a nonatherosclerotic mechanism. The association between atherosclerotic coronary artery disease and apelin has been examined in previous studies. However, the role of plasma apelin in isolated coronary artery ectasia has not been studied. In this study, we investigated the relationship between plasma apelin levels and isolated coronary artery ectasia. Subjects and Methods The study population included a total of 54 patients. Twenty-six patients had isolated CAE (53.6±8.1 years); 28 patients with normal coronary arteries (51.6±8.8 years) and with similar risk factors and demographic characteristics served as the control group. Apelin levels were measured using an enzyme-linked immunoassay kit. Results Apelin level in the CAE group was significantly lower (apelin=0.181±0.159 ng/mL) than that in the control group (apelin=0.646±0.578 ng/mL) (p=0.033). Glucose, creatinine, total cholesterol, triglyceride, low density lipoprotein cholesterol, and high density lipoprotein cholesterol levels were not significantly different between the two groups. Conclusion In this study, we showed that patients with isolated CAE have decreased plasma apelin levels compared with the control group. Based on the data, a relationship between plasma apelin and isolated CAE was determined.
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Affiliation(s)
- Mehmet Zihni Bilik
- Department of Cardiology, Medicine Faculty, Dicle University, Diyarbakır, Turkey
| | - İbrahim Kaplan
- Department of Biochemistry, Medicine Faculty, Dicle University, Diyarbakır, Turkey
| | - Abdulkadir Yıldız
- Department of Cardiology, Medicine Faculty, Dicle University, Diyarbakır, Turkey
| | - Mehmet Ata Akıl
- Department of Cardiology, Medicine Faculty, Dicle University, Diyarbakır, Turkey
| | - Halit Acet
- Department of Cardiology, Medicine Faculty, Dicle University, Diyarbakır, Turkey
| | - Murat Yüksel
- Department of Cardiology, Medicine Faculty, Dicle University, Diyarbakır, Turkey
| | - Nihat Polat
- Department of Cardiology, Medicine Faculty, Dicle University, Diyarbakır, Turkey
| | - Mesut Aydın
- Department of Cardiology, Medicine Faculty, Dicle University, Diyarbakır, Turkey
| | - Mustafa Oylumlu
- Department of Cardiology, Medicine Faculty, Dicle University, Diyarbakır, Turkey
| | - Faruk Ertaș
- Department of Cardiology, Medicine Faculty, Dicle University, Diyarbakır, Turkey
| | - Hasan Kaya
- Department of Cardiology, Medicine Faculty, Dicle University, Diyarbakır, Turkey
| | - Sait Alan
- Department of Cardiology, Medicine Faculty, Dicle University, Diyarbakır, Turkey
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14
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Acet H, Ertaş F, Bilik MZ, Aydın M, Yüksel M, Polat N, Yıldız A, Özyurtlu F, Akıl MA, Çiftçi L, Özbek M, Alan S, Toprak N. The relationship of TIMI risk index with SYNTAX and Gensini risk scores in predicting the extent and severity of coronary artery disease in patients with STEMI undergoing primary percutaneous coronary intervention. Ther Adv Cardiovasc Dis 2015; 9:257-66. [PMID: 25784498 DOI: 10.1177/1753944715574814] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/22/2022] Open
Abstract
OBJECTIVE The prognostic value of the Global Registry of Acute Coronary Events (GRACE) risk score (GRS) and the Thrombolysis in Myocardial Infarction (TIMI) risk index (TRI) have been reported in patients with coronary artery disease (CAD). In this study, we sought to evaluate the association between TRI and the extent and severity of CAD evaluated by SYNTAX score (SS) and Gensini score in patients with ST elevation myocardial infarction (STEMI). METHODS A total of 290 patients with STEMI were included in the study. GRS and TRI were calculated on admission using specified variables. The extent and severity of CAD were evaluated using the SS and Gensini scores. The patients were divided into low (TRI ⩽19), intermediate (TRI 19-30), and high (TRI ⩾30) risk groups. A Pearson correlation analysis was used for the relationship between TRI, GRS, Gensini score and SS. RESULTS There were significant differences in the mean age (p < 0.001), admission heart rate (p < 0.001), admission systolic blood pressure (p = 0.009), SS (p < 0.001), GRS (p < 0.001) and in-hospital major adverse cardiac events (MACE) in all patients between the low, intermediate and high TRI risk groups. There was a positive significant correlation between TRI and SS (r = 0.24, p < 0.001), Gensini score (r = 0.18, p = 0.002), GRS (r = 0.74, p = 0.001) and in-hospital MACE (r = 0.29, p < 0.001). CONCLUSION TRI is significantly related to SS and Gensini score in predicting the extent and severity of CAD in patients with STEMI.
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Affiliation(s)
- Halit Acet
- Faculty of Medicine, Department of Cardiology, Dicle Universty, Diyarbakır 21280, Turkey
| | - Faruk Ertaş
- Faculty of Medicine, Department of Cardiology, Dicle Universty, Diyarbakır, Turkey
| | - Mehmet Zihni Bilik
- Faculty of Medicine, Department of Cardiology, Dicle Universty, Diyarbakır, Turkey
| | - Mesut Aydın
- Faculty of Medicine, Department of Cardiology, Dicle Universty, Diyarbakır, Turkey
| | - Murat Yüksel
- Faculty of Medicine, Department of Cardiology, Dicle Universty, Diyarbakır, Turkey
| | - Nihat Polat
- Faculty of Medicine, Department of Cardiology, Dicle Universty, Diyarbakır, Turkey
| | - Abdulkadir Yıldız
- Faculty of Medicine, Department of Cardiology, Dicle Universty, Diyarbakır, Turkey
| | - Ferhat Özyurtlu
- Faculty of Medicine, Department of Cardiology, Izmir Universty, İzmir, Turkey
| | - Mehmet Ata Akıl
- Faculty of Medicine, Department of Cardiology, Dicle Universty, Diyarbakır, Turkey
| | - Leyla Çiftçi
- Faculty of Medicine, Department of Cardiology, Dicle Universty, Diyarbakır, Turkey
| | - Mehmet Özbek
- Faculty of Medicine, Department of Cardiology, Dicle Universty, Diyarbakır, Turkey
| | - Sait Alan
- Faculty of Medicine, Department of Cardiology, Dicle Universty, Diyarbakır, Turkey
| | - Nizamettin Toprak
- Faculty of Medicine, Department of Cardiology, Dicle Universty, Diyarbakır, Turkey
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15
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Ertaş F, Kaya H, Yıldız A, Davutoğlu V, Kiriş A, Dinç L, Kafes H, Avcı A, Calapkorur B, Ertaş G, Gül M, Kahraman Ay N, Bulur S, Durukan M, Eren M, İlhan İ, Küçük M, Özpelit E, Şimşek H, Uçar FM, Yıldız A, Şahin DY, Ayhan E, Çağlayan CE, Güngör H, Özyurtlu F, Şen N, Vatan B, Vatansever F, Kobat MA, Temiz A, Taylan G, Dönmez İ, Erkuş ME, Söylemez S, Zengin H, Gündüz M, Tuncez A, Karavelioğlu Y, Gökdeniz T, Koza Y, Aktop Z, Katlandur H, Karaca Özer P, Yüksel M, Acet H, Çil H, Alan S, Toprak N. An epidemiological study to evaluate the use of vitamin K antagonists and new oral anticoagulants among non-valvular atrial fibrillation patients in Turkey- AFTER-2 study design. Turk Kardiyol Dern Ars 2015; 43:169-77. [PMID: 25782122 DOI: 10.5543/tkda.2015.35984] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
OBJECTIVES Atrial fibrillation (AF) is one of the most common causes of preventable ischemic stroke and is related to increased cardiovascular morbidity and mortality. There is a lack of data in Turkey on the use of new oral anticoagulants (NOACs), and time in therapeutic INR range (TTR) in vitamin K antagonist users and AF management modality. In this multi-center trial, we aimed to analyze, follow and evaluate the epidemiological data in non-valvular AF patients. STUDY DESIGN Four thousand one hundred consecutive adult patients from 42 centers with at least one AF attack identified on electrocardiography will be included in the study. Patients with rheumatic mitral valve stenosis and prosthetic valve disease will be excluded from the study. At the end of one year, the patients will be evaluated in terms of major cardiac end points (death, transient ischemic attack, stroke, systemic thromboembolism, major bleeding and hospitalization). RESULTS First results are expected in June 2015. Data about major cardiovascular end-points will be available in January 2016. CONCLUSION The rates and kind of oral anticoagulant use, TTR in vitamin K antagonist users and main management modality applied in non-valvular AF patients will be determined by AFTER-2 study. In addition, the rate of major adverse events (MACEs) and the independent predictors of these MACEs will be detected (AFTER-2 Study ClinicalTrials.gov number, NCT02354456.).
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Affiliation(s)
- Faruk Ertaş
- Department of Cardiology, Dicle University Faculty of Medicine, Diyarbakır, Turkey
| | - Hasan Kaya
- Department of Cardiology, Dicle University Faculty of Medicine, Diyarbakır, Turkey
| | - Abdulkadir Yıldız
- Department of Cardiology, Dicle University Faculty of Medicine, Diyarbakır, Turkey
| | - Vedat Davutoğlu
- Department of Cardiology, Gaziantep University Faculty of Medicine, Gaziantep, Turkey
| | - Abdulkadir Kiriş
- Department of Cardiology, Karadeniz Technique University Faculty of Medicine, Trabzon, Turkey
| | - Lale Dinç
- Department of Cardiology, Dışkapı Training and Research Hospital, Ankara, Turkey
| | - Habibe Kafes
- Department of Cardiology, Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
| | - Anıl Avcı
- Department of Cardiology, Koşuyolu Training and Research Hospital, İstanbul, Turkey
| | - Bekir Calapkorur
- Department of Cardiology, Erciyes University Faculty of Medicine, Kayseri, Turkey
| | - Gökhan Ertaş
- Department of Cardiology, Siyami Ersek Training and Research Hospital, İstanbul, Turkey
| | - Mehmet Gül
- Department of Cardiology, Mehmet Akif Ersoy Training and Research Hospital, İstanbul, Turkey
| | - Nuray Kahraman Ay
- Department of Cardiology, Bezmialem Foundation University Faculty of Medicine, İstanbul, Turkey
| | - Serkan Bulur
- Department of Cardiology, Medeniyet University Faculty of Medicine, İstanbul, Turkey
| | - Mine Durukan
- Department of Cardiology, Mersin State Hospital, Mersin, Turkey
| | - Murat Eren
- Department of Cardiology, Bozyaka Training and Research Hospital, İzmir, Turkey
| | - İbrahim İlhan
- Department of Cardiology, Mardin State Hospital, Mardin, Turkey
| | - Murathan Küçük
- Department of Cardiology, Akdeniz University Faculty of Medicine, Antalya, Turkey
| | - Ebru Özpelit
- Department of Cardiology, Dokuz Eylül University Faculty of Medicine, İzmir, Turkey
| | - Hakkı Şimşek
- Department of Cardiology, Yüzüncü Yıl University Faculty of Medicine, Van, Turkey
| | - F Mehmet Uçar
- Department of Cardiology, Denizli State Hospital, Denizli, Turkey
| | - Ahmet Yıldız
- Department of Cardiology, Cardiology Institute, İstanbul, Turkey
| | - D Yıldıray Şahin
- Department of Cardiology, Numune Training and Research Hospital, Adana, Turkey
| | - Erkan Ayhan
- Department of Cardiology, Medical Park Hospital, Bursa, Turkey
| | - C Emre Çağlayan
- Department of Cardiology, Çukurova University Faculty of Medicine, Adana, Turkey
| | - Hasan Güngör
- Department of Cardiology, Adnan Menderes University Faculty of Medicine, Aydın, Turkey
| | - Ferhat Özyurtlu
- Department of Cardiology, Grand Medical Hospital, Manisa, Turkey
| | - Nihat Şen
- Department of Cardiology, Mustafa Kemal University Faculty of Medicine, Hatay, Turkey
| | - Bülent Vatan
- Department of Cardiology, Sakarya University Faculty of Medicine, Sakarya, Turkey
| | - Fahriye Vatansever
- Department of Cardiology, Yüksek İhtisas Training and Research Hospital, Bursa, Turkey
| | - Mehmet Ali Kobat
- Department of Cardiology, Fırat University Faculty of Medicine, Elazığ, Turkey
| | - Ahmet Temiz
- Department of Cardiology, Onsekiz Mart University Faculty of Medicine, Çanakkale, Turkey
| | - Gökay Taylan
- Department of Cardiology, Trakya University Faculty of Medicine, Edirne, Turkey
| | - İbrahim Dönmez
- Department of Cardiology, Abant İzzet Baysal University Faculty of Medicine, Bolu, Turkey
| | - M Emre Erkuş
- Department of Cardiology, Harran University Faculty of Medicine, Şanlıurfa, Turkey
| | - Selami Söylemez
- Department of Cardiology, Kırıkkale University Faculty of Medicine, Kırıkkale, Turkey
| | - Halit Zengin
- Department of Cardiology, Ondokuz Mayıs University Faculty of Medicine, Samsun, Turkey
| | - Mahmut Gündüz
- Department of Cardiology, Fatih University Faculty of Medicine, İstanbul, Turkey
| | - Abdullah Tuncez
- Department of Cardiology, Selçuk University Faculty of Medicine, Konya, Turkey
| | - Yusuf Karavelioğlu
- Department of Cardiology, Hitit University Faculty of Medicine, Çorum, Turkey
| | - Tayyar Gökdeniz
- Department of Cardiology, Kafkas University Faculty of Medicine, Kars, Turkey
| | - Yavuzer Koza
- Department of Cardiology, Atatürk University Faculty of Medicine, Erzurum, Turkey
| | - Ziyaeddin Aktop
- Department of Cardiology, Bülent Ecevit University Faculty of Medicine, Zonguldak, Turkey
| | - Hüseyin Katlandur
- Department of Cardiology, Mevlana University Faculty of Medicine, Konya, Turkey
| | - Pelin Karaca Özer
- Department of Cardiology, Kastamonu State Hospital, Kastamonu, Turkey
| | - Murat Yüksel
- Department of Cardiology, Dicle University Faculty of Medicine, Diyarbakır, Turkey
| | - Halit Acet
- Department of Cardiology, Dicle University Faculty of Medicine, Diyarbakır, Turkey
| | - Habib Çil
- Department of Cardiology, Dicle University Faculty of Medicine, Diyarbakır, Turkey
| | - Sait Alan
- Department of Cardiology, Dicle University Faculty of Medicine, Diyarbakır, Turkey
| | - Nizamettin Toprak
- Department of Cardiology, Dicle University Faculty of Medicine, Diyarbakır, Turkey
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Acet H, Ertaş F, Aydın M, Kaya H, Yüksel M, Bilik MZ, Polat N, Akıl MA, Yıldız A, Özbek M, Çiftçi L, Ozaydoğdu N. The Utility of the Serum Albumin Levels on Admission for Predicting Angiographic No Reflow After Primary Percutaneous Coronary Intervention in Patients With ST-Segment Elevation Myocardial Infarction. ACTA ACUST UNITED AC 2015. [DOI: 10.5505/abantmedj.2015.42713] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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17
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Akıl MA, Akıl E, Bilik MZ, Oylumlu M, Acet H, Yıldız A, Akyüz A, Ertaş F, Toprak N. The relationship between atrial electromechanical delay and left atrial mechanical function in stroke patients. Anatol J Cardiol 2014; 15:565-70. [PMID: 25537998 PMCID: PMC5337037 DOI: 10.5152/akd.2014.5558] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE The aim of this study was to evaluate the relationship between atrial electromechanical delay (EMD) measured with tissue Doppler imaging (TDI) and left atrial (LA) mechanical functions in patients with ischemic stroke and compare them with healthy controls. METHODS Thirty patients with ischemic stroke were enrolled into this cross-sectional, observational study. The control group consisted of 35 age- and gender-matched apparently healthy individuals patients. Acute cerebral infarcts of probable embolic origin were diagnosed via imaging and were confirmed by a neurologist. Echocardiographically, time intervals from the beginning of P wave to beginning of A wave from the lateral and septal mitral and right ventricular tricuspid annuli in TDI were recorded. The differences between these intervals gave the mechanical delays (inter- and intra-atrial). Left atrial (LA) volumes were measured using the biplane area-length method, and LA mechanical function parameters were calculated. Statistical analysis was performed using student's t-test, chi-squared test, and Pearson's test. RESULTS The laboratory and clinical characteristics were similar in the two groups. Increased left atrial EMD (21.36±10.38 ms versus 11.74±6.06 ms, p<0.001), right atrial EMD (13.66±8.62 ms versus 9.66±6.81 ms, p=0.040), and interatrial EMD (35.03±9.95 ms versus 21.40±8.47 ms, p<0.001) were observed in stroke patients as compared to controls. Active LA emptying volume and fraction and passive LA emptying volumes and fraction were similar between controls and stroke patients. Total LA emptying volumes were significantly increased in stroke patients as compared to healthy controls (33.19±11.99 mL/m2 versus 27.48±7.08 mL/m2, p=0.021). CONCLUSION According to the results of our study, interatrial electromechanical delay may be a new predictor for ischemic stroke.
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Affiliation(s)
- Mehmet Ata Akıl
- Department of Cardiology, Faculty of Medicine, Dicle University; Diyarbakır-Turkey.
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18
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Polat N, Aydin M, Yildiz A, Acet H, Akil MA, Bilik MZ, Demir M, Isik MA, Kaya H, Alan S. The prognostic significance of serum albumin in patients with acute decompensated systolic heart failure. Acta Cardiol 2014; 69:648-54. [PMID: 25643435 DOI: 10.1080/ac.69.6.1000007] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
BACKGROUND Despite improvements in the diagnosis and treatment of heart failure, mortality is still high. It is important to identify high-risk patients. In this study, we investigated whether the serum albumin level is a useful predictor of annual mortality in patients with acute decompensated systolic heart failure (ADSHF). METHODS One-hundred and thirty-five consecutive patients with a left ventricular ejection fraction ≤ 40% who were hospitalized with the diagnosis of ADSHF were included in this retrospective study. Patients were divided into two groups based on whether or not hypoalbuminaemia was present, and the relationship between hypoalbuminaemia and mortality was evaluated. RESULTS The mean age of the study population was 67 ± 14 years and 54% of the patients were male. Hypoalbuminaemia was detected in 69.6% of the patients. The systolic blood pressure, haemoglobin levels, lymphocyte count, cholesterol and sodium values were low and the direct bilirubin and CRP levels were elevated in the hypoalbuminaemia group. The one-year mortality was 37% in the hypoalbuminaemia group and 12% in the group with normal albuminaemia (P = 0.003). Multivariate analysis showed that hypoalbuminaemia, decreased haemoglobin levels and increased creatinine values were independent predictors of mortality (P < 0.05). A serum albumin cut-off value of 3.10 g/dl predicted 1-year mortality with a sensitivity of 70% and specificity of 70% in patients with ADSHF disease. CONCLUSION All-cause annual mortality rates are significantly increased in ADSHF patients with hypoalbuminaemia. The serum albumin level, as well as the creatinine and haemoglobin values, may be helpful biomarkers in this group.
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Affiliation(s)
- Nihat Polat
- Dept. of Cardiology, Dicle University School of Medicine, Diyarbakir, Turkey
| | - Mesut Aydin
- Dept. of Cardiology, Dicle University School of Medicine, Diyarbakir, Turkey
| | - Abdulkadir Yildiz
- Dept. of Cardiology, Dicle University School of Medicine, Diyarbakir, Turkey
| | - Halit Acet
- Dept. of Cardiology, Dicle University School of Medicine, Diyarbakir, Turkey
| | - Mehmet Ata Akil
- Dept. of Cardiology, Dicle University School of Medicine, Diyarbakir, Turkey
| | - Mehmet Zihni Bilik
- Dept. of Cardiology, Dicle University School of Medicine, Diyarbakir, Turkey
| | - Muhammed Demir
- Dept. of Cardiology, Dicle University School of Medicine, Diyarbakir, Turkey
| | - Mehmet Ali Isik
- Dept. of Cardiology, Dicle University School of Medicine, Diyarbakir, Turkey
| | - Hasan Kaya
- Dept. of Cardiology, Dicle University School of Medicine, Diyarbakir, Turkey
| | - Sait Alan
- Dept. of Cardiology, Dicle University School of Medicine, Diyarbakir, Turkey
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Polat N, Yildiz A, Yuksel M, Acet H, Alan S. A thrombotic right sinus of valsalva aneurysm causing acute myocardial infarction and ischemic stroke. Echocardiography 2014; 32:189-91. [PMID: 25251923 DOI: 10.1111/echo.12755] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Affiliation(s)
- Nihat Polat
- Department of Cardiology, Dicle University School of Medicine, Diyarbakir, Turkey
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20
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Ozyurtlu F, Yavuz V, Cetin N, Acet H, Ayhan E, Isik T. The association between coronary slow flow and platelet distribution width among patients with stable angina pectoris. Postepy Kardiol Interwencyjnej 2014; 10:161-5. [PMID: 25489301 PMCID: PMC4252306 DOI: 10.5114/pwki.2014.45142] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2013] [Revised: 01/07/2014] [Accepted: 02/13/2014] [Indexed: 11/29/2022] Open
Abstract
INTRODUCTION Coronary slow flow (CSF) is an angiographic phenomenon characterised by the delay of distal vessel opacification in the absence of significant stenosis of the epicardial coronary arteries. Some of the factors playing a role in CSF pathophysiology are increased thrombogenic activity and inflammation. AIM To examine the relationship between platelet distribution width (PDW) and CSF. MATERIAL AND METHODS Taking into consideration the exclusion criteria, 136 patients with CSF and 152 patients with normal coronary angiographies (control group) were included in the study. The association between thrombolysis infarction frame count (TFC) in myocardial and laboratory and other clinical parameters were evaluated. RESULTS The stated parameters were significantly higher in the group with CSF than in the normal coronary angiography group (control group). The PDW (16.6 ±0.7 vs. 16.4 ±0.6, p = 0.002), neutrophil lymphocyte ratio (NLR) (3.1 ±3.4 vs. 2.4 ±1.1, p = 0.027), haemoglobin (Hb) (14.1 ±1.3 vs. 14.7 ±1.1, p < 0.001), and red cell distribution width (RDW) (13.6 ±0.7 vs. 14.1 ±2.8, p = 0.026) were significantly higher in the CSF group than in the control group. Moreover, our study showed that PDW > 16.15 and Hb > 1 3.75 were predictors of the presence of CSF with sensitivities of 83% and 73% and specificities of 40% and 42%, respectively. CONCLUSIONS This study has demonstrated that compared to normal coronary flow, PDW, Hb, NLR, and RDW are significantly higher in CSF patients. We believe that further studies are needed to clarify the role of PDW and Hb in patients with CSF.
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Affiliation(s)
| | | | | | - Halit Acet
- Department of Cardiology, Dicle University Faculty of Medicine, Diyarbakır, Turkey
| | - Erkan Ayhan
- Department of Cardiology, Balıkesir University Faculty of Medicine, Balıkesir, Turkey
| | - Turgay Isik
- Department of Cardiology, Balıkesir University Faculty of Medicine, Balıkesir, Turkey
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Aydin M, Yıldız A, Polat N, Acet H, İslamoğlu Y. Atropine-induced non-sustained polymorphic ventricular tachycardia: A rare case. J Clin Exp Invest 2014. [DOI: 10.5799/ahinjs.01.2014.03.0437] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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22
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Akıl MA, Bilik MZ, Acet H, Ertaş F, Yıldız A. Case images: A co-anomaly: hourglass-like aorta and giant coronary arteries. Turk Kardiyol Dern Ars 2014; 42:498. [PMID: 25080965 DOI: 10.5543/tkda.2014.09158] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Affiliation(s)
- Mehmet Ata Akıl
- Department of Cardiology, Dicle University Faculty of Medicine, Diyarbakır, Turkey.
| | - Mehmet Zihni Bilik
- Department of Cardiology, Dicle University Faculty of Medicine, Diyarbakır, Turkey
| | - Halit Acet
- Department of Cardiology, Dicle University Faculty of Medicine, Diyarbakır, Turkey
| | - Faruk Ertaş
- Department of Cardiology, Dicle University Faculty of Medicine, Diyarbakır, Turkey
| | - Abdülkadir Yıldız
- Department of Cardiology, Dicle University Faculty of Medicine, Diyarbakır, Turkey
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Acet H, Ertaş F, Akıl MA, Özyurtlu F, Yıldız A, Polat N, Bilik MZ, Aydın M, Oylumlu M, Kaya H, Yüksel M, Akyüz A, Ayçiçek H, Alan S, Toprak N. Novel predictors of infarct-related artery patency for ST-segment elevation myocardial infarction: Platelet-to-lymphocyte ratio, uric acid, and neutrophil-to-lymphocyte ratio. Anatol J Cardiol 2014; 15:648-56. [PMID: 25550174 PMCID: PMC5336866 DOI: 10.5152/akd.2014.5592] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE The neutrophil/lymphocyte ratio (NLR), the platelet/lymphocyte ratio (PLR), and uric acid (UA) are inflammatory markers in cardiovascular disease. However, there are not enough data on infarct-related artery (IRA) patency in ST-segment elevation myocardial infarction (STEMI). We aimed to investigate the association of NLR, PLR, and UA with IRA patency before percutaneous coronary intervention (PCI) in STEMI. METHODS The study was designed as a retrospective study. Three hundred and twenty-four consecutive patients with STEMI were divided into two groups according to pre-PCI Thrombolysis in Myocardial Infarction flow grade (TIMI). Patients with a TIMI flow grade of into the spontaneous reperfusion (SR) group, while patients with TIMI flow grade of 0, 1 and 2 were placed into the non-SR group. The χ2 and independent-samples t-test, Mann-Whitney U test, multivariate logistic regression analysis, and receiver-operator characteristic (ROC) curve analysis were used for the statistical analysis. RESULTS PLR, NLR, and UA values in the SR group were lower than in the non-SR group (p<0.004, p<0.001, p<0.001, respectively). In the multivariate analysis, serum UA level and PLR were found to be independent predictors of pre-PCI IRA patency. In the ROC curve analysis, PLR >190, UA>5.75 mg/dL, and NLR>4.2 predicted non-SR. The sensitivity and specificity of the association between low IRA TIMI flow grade and PLR were 88% and 84%, 72% and 66% for UA, and 74% and 44% for NLR, respectively. CONCLUSION We determined that PLR and UA are novel predictors of IRA patency before PCI. We suggest that PLR and UA may be used in risk-stratifying STEMI.
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Affiliation(s)
- Halit Acet
- Department of Cardiology, Faculty of Medicine, Dicle University; Diyarbakır-Turkey.
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Yüksel M, Yıldız A, Oylumlu M, Akyüz A, Aydın M, Kaya H, Acet H, Polat N, Bilik MZ, Alan S. The association between platelet/lymphocyte ratio and coronary artery disease severity. Anatol J Cardiol 2014; 15:640-7. [PMID: 25550173 PMCID: PMC5336865 DOI: 10.5152/akd.2014.5565] [Citation(s) in RCA: 61] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022] Open
Abstract
OBJECTIVE In this study, we aimed to explore the association between platelet-to-lymphocyte ratio (PLR) and the severity of atherosclerosis in coronary artery disease (CAD). METHODS Clinical and laboratory data of 388 patients who underwent coronary angiography were evaluated retrospectively. Gensini score, which indicates the severity of atherosclerosis, was calculated for all of the patients. Patients with CAD were categorized as mild and severe atherosclerosis, according to their Gensini score. Eighty patients with normal coronary arteries formed the control group. Mean PLR values of the three study groups were compared. Also, PLR value was tested for whether it showed a positive correlation with Gensini score. RESULTS The mean PLR of the severe atherosclerosis group was significantly higher than that of the mild atherosclerosis and controls groups (p<0.001). Also, PLR was positively correlated with Gensini score in CAD patients. A cut-off value of 111 for PLR predicted severe atherosclerosis with 61% sensitivity and 59% specificity. Pre-procedural PLR level was found to be independently associated with Gensini score, together with WBC, age, and low HDL level, in the multivariate analysis. CONCLUSION Our study suggests that high PLR appears to be additive to conventional risk factors and commonly used biomarkers in predicting severe atherosclerosis.
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Affiliation(s)
- Murat Yüksel
- Department of Cardiology, Faculty of Medicine, Dicle University; Diyarbakır-Turkey.
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Acet H, Ertaş F. The relationship between neutrophil to lymphocyte ratio and SYNTAX score in patients with ST-segment elevation myocardial infarction. J Clin Exp Invest 2014. [DOI: 10.5799/ahinjs.01.2014.02.0391] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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Acet H, Ertaş F. Short-Term effects of amiodarone on thyroid function on Aegean region population of Turkey: A prospective regional and observational study. J Clin Exp Invest 2014. [DOI: 10.5799/ahinjs.01.2014.02.0403] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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Acet H, Ertaş F, Akıl MA, Özyurtlu F, Polat N, Bilik MZ, Aydın M, Oylumlu M, Yüksel M, Yıldız A, Kaya H, Akyüz A, Özbek M. Relationship Between Hematologic Indices and Global Registry of Acute Coronary Events Risk Score in Patients With ST-Segment Elevation Myocardial Infarction. Clin Appl Thromb Hemost 2014; 22:60-8. [PMID: 24816530 DOI: 10.1177/1076029614533145] [Citation(s) in RCA: 39] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022] Open
Abstract
The aim of this study was to evaluate the relationship between hematologic indices and the Global Registry of Acute Coronary Events (GRACE) score in patients with ST-segment elevation myocardial infarction (STEMI). A total of 800 patients who consecutively and retrospectively presented with STEMI within 12 hours of symptom onset. After accounting for exclusion criteria, a total of 379 patients remained in the study. We enrolled 379 patients with STEMI (mean age 61.7 ± 13.6 years; men 73%). Neutrophil to lymphocyte ratio (NLR), platelet to lymphocyte ratio (PLR), red cell distribution width (RDW), and monocyte count were associated with increased worse GRACE risk score (P = .008, P = .012, P = .005, P = .022, respectively). In multivariate linear regression analysis, NLR, PLR, RDW, and monocyte count were found to be independent predictors of GRACE risk score. We demonstrate for the first time that PLR, RDW, and monocyte were associated with the GRACE score in patients with STEMI.
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Affiliation(s)
- Halit Acet
- Department of Cardiology, Dicle Universty Faculty of Medicine, Diyarbakır, Turkey
| | - Faruk Ertaş
- Department of Cardiology, Dicle Universty Faculty of Medicine, Diyarbakır, Turkey
| | - Mehmet Ata Akıl
- Department of Cardiology, Dicle Universty Faculty of Medicine, Diyarbakır, Turkey
| | - Ferhat Özyurtlu
- Department of Cardiology, İzmir Universty Faculty of Medicine İzmir, Turkey
| | - Nihat Polat
- Department of Cardiology, Dicle Universty Faculty of Medicine, Diyarbakır, Turkey
| | - Mehmet Zihni Bilik
- Department of Cardiology, Dicle Universty Faculty of Medicine, Diyarbakır, Turkey
| | - Mesut Aydın
- Department of Cardiology, Dicle Universty Faculty of Medicine, Diyarbakır, Turkey
| | - Mustafa Oylumlu
- Department of Cardiology, Dicle Universty Faculty of Medicine, Diyarbakır, Turkey
| | - Murat Yüksel
- Department of Cardiology, Dicle Universty Faculty of Medicine, Diyarbakır, Turkey
| | - Abdulkadir Yıldız
- Department of Cardiology, Dicle Universty Faculty of Medicine, Diyarbakır, Turkey
| | - Hasan Kaya
- Department of Cardiology, Dicle Universty Faculty of Medicine, Diyarbakır, Turkey
| | - Abdurrahman Akyüz
- Department of Cardiology, Dicle Universty Faculty of Medicine, Diyarbakır, Turkey
| | - Mehmet Özbek
- Department of Cardiology, Dicle Universty Faculty of Medicine, Diyarbakır, Turkey
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Oylumlu M, Oylumlu M, Yuksel M, Yildiz A, Bilik MZ, Akil MA, Ozler A, Acet H, Ertas F, Alan S. A simple method for the assessment of arterial stiffness in pre-eclamptic patients. Clin Exp Hypertens 2014; 36:531-7. [PMID: 24786588 DOI: 10.3109/10641963.2014.913608] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
BACKGROUND Arterial stiffness (AS), the term describes the rigidity of arterial walls, and its hemodynamic results have been shown to be associated with increase in future cardiovascular events. Women with pre-eclampsia in their past pregnancies have a higher risk of developing cardiovascular disease later in life. The goal of this study was to assess AS using a non-invasive and simple oscillometric method in pregnant women with and without pre-eclampsia. METHODS Ninety pregnant women, forty-five of which had pre-eclampsia, were included in the study. The vascular measurements were performed with a Mobil-O-Graph 24 h PWA Monitor, an automatic oscillometric device. Statistical analysis was performed using the Chi-square, independent sample t-test or the Mann-Whitney U test, Pearson correlation, and linear regression tests. RESULTS All the vascular function parameters were significantly higher in the patients with pre-eclampsia. The pulse wave velocity (PWV) values found in the pre-eclampsia group were positively correlated with gestational age, maternal age, glucose level, creatinine level, augmentation index, and central blood pressure. Using linear regression analysis, the PWV values were confirmed to be positively correlated with gestational age, maternal age, and central systolic blood pressure. The women with severe pre-eclampsia had significantly higher blood pressures, PWV values, augmentation indices, and cardiac outputs when compared with the patients with mild pre-eclampsia. CONCLUSION Oscillometric PWV measurement is already accepted as the most reproducible quick, simple, and inexpensive non-invasive method for the assessment of large artery stiffness. It can be applied to evaluate the AS and also aid in detecting future cardiovascular risk of patients with pre-eclampsia.
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Affiliation(s)
- Mustafa Oylumlu
- Department of Cardiology, Dicle University School of Medicine , Diyarbakir , Turkey
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Oylumlu M, Yıldız A, Oylumlu M, Yüksel M, Polat N, Bilik MZ, Akyüz A, Aydın M, Acet H, Soydinç S. Platelet-to-lymphocyte ratio is a predictor of in-hospital mortality patients with acute coronary syndrome. Anatol J Cardiol 2014; 15:277-83. [PMID: 25413224 PMCID: PMC5336835 DOI: 10.5152/akd.2014.5366] [Citation(s) in RCA: 40] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022] Open
Abstract
Objective: Platelets and inflammatory cells are vital elements of acute coronary syndromes (ACS). Recent studies have shown that the plateletto-lymphocyte ratio (PLR) is associated with several malignancies; however, there are not enough data in cardiovascular diseases. Therefore, the aim of this study was to explore the association between PLR and in-hospital mortality in patients with ACS. Methods: We retrospectively collected patients with ACS undergoing coronary angiography. Total and differential leukocyte counts were measured by an automated hematology analyzer. Results: This study is single-centered and observational. In total, 587 patients with a mean age of 61.8±13.1 years (68.4% male) were enrolled in the study. Patients were divided into 3 tertiles based on PLR levels. In-hospital mortality was significantly higher among patients in the upper PLR tertile when compared with the middle and lower PLR tertile groups [29 (14.8%) vs. 17 (8.7%) and 2 (1.0%); p<0.001]. In the multiple logistic regression analysis, a high level of PLR was an independent predictor of in-hospital mortality, together with age, total leukocyte count, and creatinine. Using a cutoff point of 142, the PLR predicted in-hospital mortality with a sensitivity of 69% and specificity of 63%. Conclusion: Different from other inflammatory markers and assays, PLR is an inexpensive and readily available biomarker that may be useful for cardiac risk stratification in patients with ACS.
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Affiliation(s)
- Mustafa Oylumlu
- Department of Cardiology, Faculty of Medicine, Dicle University; Diyarbakır-Turkey.
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Yıldız A, Akil MA, Kayan F, Yuksel M, Oylumlu M, Bilik MZ, Polat N, Aydin M, Acet H, Alan S. Assessment of neutrophil / lymphocyte ratio in patients with myocardial bridge. J Clin Exp Invest 2014. [DOI: 10.5799/ahinjs.01.2014.01.0353] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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Yıldız A, Yüksel M, Oylumlu M, Polat N, Akıl MA, Acet H. The association between the neutrophil/lymphocyte ratio and functional capacity in patients with idiopathic dilated cardiomyopathy. Anatol J Cardiol 2014; 15:13-7. [PMID: 25179880 PMCID: PMC5336890 DOI: 10.5152/akd.2014.5131] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023] Open
Abstract
Objective: The neutrophil/lymphocyte ratio (NLR) is an inexpensive, readily available and reliable inflammatory marker, which has a predictor value in different cardiovascular disorders. Functional capacity is one of the most important prognostic factors in patients with heart failure, which is usually stated as metabolic equivalents (MET). The goal of the study was to investigate the relationship between the NLR and functional capacity (FC) in patients with idiopathic dilated cardiomyopathy (IDC). Methods: Treadmill test according to modified-Bruce protocol was performed in 37 patients with IDC (mean age 46.7±11.7 years, 81.1% male) to assess their functional capacity. Baseline clinical and echocardiographic variables were obtained. Hematological and biochemical parameters were measured using standard techniques. Results: The patients were divided into low (<5 MET, n=18) and high (>5 MET, n=19) FC groups according to their functional status in the exercise test. The 2 groups were similar regarding age, gender and the presence of hypertension and diabetes mellitus. There was no significant difference between groups regarding echocardiographic parameters such as left ventricular ejection fraction and diameters. However, the NLR was significantly higher in low FC group compared to high FC group (3.62±2.24 vs. 2.24±0.67, p=0.002; respectively). There were significant negative correlations between the NLR, MET and left ventricular ejection fraction (r=-0.405, p=0.013 and r=-0.028, p=0.028; respectively). Diastolic dysfunction was present in all the patients with low functional capacity. A cut-off point of 2.26 for the NLR had 83% sensitivity and 69% specificity in predicting poor FC. After multivariate analysis, only the NLR remained significant predictor of poor functional status. Conclusion: We detected a significant association between the NLR and low FC, both of which has predictive and prognostic value in patients with heart failure. Functional capacity may depend on diastolic function rather than left ventricular ejection fraction in patients with IDC.
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Affiliation(s)
- Abdulkadir Yıldız
- Department of Cardiology, Faculty of Medicine, Dicle University, Diyarbakır-Turkey.
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Yildiz A, Ucmak D, Oylumlu M, Akkurt MZ, Yuksel M, Akil MA, Acet H, Polat N, Aydin M, Bilik MZ. Assessment of Atrial Electromechanical Delay and P-Wave Dispersion in Patients with Psoriasis. Echocardiography 2014; 31:1071-6. [DOI: 10.1111/echo.12530] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Affiliation(s)
- Abdulkadir Yildiz
- Department of Cardiology; Dicle University School of Medicine; Diyarbakir Turkey
| | - Derya Ucmak
- Department of Dermatology; Dicle University School of Medicine; Diyarbakir Turkey
| | - Mustafa Oylumlu
- Department of Cardiology; Dicle University School of Medicine; Diyarbakir Turkey
| | - Meltem Z. Akkurt
- Department of Dermatology; Dicle University School of Medicine; Diyarbakir Turkey
| | - Murat Yuksel
- Department of Cardiology; Dicle University School of Medicine; Diyarbakir Turkey
| | - Mehmet Ata Akil
- Department of Cardiology; Dicle University School of Medicine; Diyarbakir Turkey
| | - Halit Acet
- Department of Cardiology; Dicle University School of Medicine; Diyarbakir Turkey
| | - Nihat Polat
- Department of Cardiology; Dicle University School of Medicine; Diyarbakir Turkey
| | - Mesut Aydin
- Department of Cardiology; Dicle University School of Medicine; Diyarbakir Turkey
| | - M. Zihni Bilik
- Department of Cardiology; Dicle University School of Medicine; Diyarbakir Turkey
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Oylumlu M, Ozler A, Yildiz A, Oylumlu M, Acet H, Polat N, Soydinc HE, Yuksel M, Ertas F. New inflammatory markers in pre-eclampsia: echocardiographic epicardial fat thickness and neutrophil to lymphocyte ratio. Clin Exp Hypertens 2014; 36:503-7. [DOI: 10.3109/10641963.2013.863324] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Yildiz A, Yuksel M, Oylumlu M, Polat N, Akyuz A, Acet H, Aydin M, Ülgen MS. The Utility of the Platelet–Lymphocyte Ratio for Predicting No Reflow in Patients With ST-Segment Elevation Myocardial Infarction. Clin Appl Thromb Hemost 2014; 21:223-8. [DOI: 10.1177/1076029613519851] [Citation(s) in RCA: 56] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
The aim of the study was to evaluate the utility of the preprocedural platelet–lymphocyte ratio (PLR) for predicting no reflow in patients undergoing primary percutaneous intervention (PCI) for the treatment of ST-segment elevation myocardial infarction. The thrombolysis in myocardial infarction (TIMI) flow grades of 287 patients treated with primary PCI were assessed retrospectively. Patients were divided into 3 tertiles based upon preprocedural PLR. Pre- and postprocedural TIMI flow grades were evaluated. No reflow developed in 6, 14, and 43 patients in the lower, middle, and higher tertiles, respectively ( P < .001). After multivariate analysis, PLR remained a significant predictor of no reflow together with neutrophil–lymphocyte ratio (NLR). A cutoff value of 160 for PLR and 5.9 for NLR predicted no reflow with sensitivities and specificities of 75% and 71% and 74% and 70%, respectively. In conclusion, high preprocedural PLR and NLR levels are significant and independent predictors of no reflow in patients undergoing primary PCI.
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Affiliation(s)
- Abdulkadir Yildiz
- Department of Cardiology, Dicle University School of Medicine, Diyarbakir, Turkey
| | - Murat Yuksel
- Department of Cardiology, Dicle University School of Medicine, Diyarbakir, Turkey
| | - Mustafa Oylumlu
- Department of Cardiology, Dicle University School of Medicine, Diyarbakir, Turkey
| | - Nihat Polat
- Department of Cardiology, Dicle University School of Medicine, Diyarbakir, Turkey
| | - Abdurrahman Akyuz
- Department of Cardiology, Dicle University School of Medicine, Diyarbakir, Turkey
| | - Halit Acet
- Department of Cardiology, Dicle University School of Medicine, Diyarbakir, Turkey
| | - Mesut Aydin
- Department of Cardiology, Dicle University School of Medicine, Diyarbakir, Turkey
| | - Mehmet Siddik Ülgen
- Department of Cardiology, Dicle University School of Medicine, Diyarbakir, Turkey
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Ertaş F, Özyurtlu F, Acet H, Bilik MZ. A case of isolated inferior ST segment elevation myocardial infarction due to occlusion of the left anterior descending coronary artery and review of the literature. J Clin Exp Invest 2013. [DOI: 10.5799/ahinjs.01.2013.04.0339] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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Abdovic E, Abdovic S, Hristova K, Hristova K, Katova T, Katova T, Gocheva N, Gocheva N, Pavlova M, Pavlova M, Gurzun MM, Ionescu A, Canpolat U, Yorgun H, Sunman H, Sahiner L, Kaya E, Ozer N, Tokgozoglu L, Kabakci G, Aytemir K, Oto A, Gonella A, D'ascenzo F, Casasso F, Conte E, Margaria F, Grosso Marra W, Frea S, Morello M, Bobbio M, Gaita F, Seo H, Lee S, Lee J, Yoon Y, Park E, Kim H, Park S, Lee H, Kim Y, Sohn D, Nemes A, Domsik P, Kalapos A, Orosz A, Lengyel C, Forster T, Enache R, Muraru D, Popescu B, Calin A, Nastase O, Botezatu D, Purcarea F, Rosca M, Beladan C, Ginghina C, Canpolat U, Aytemir K, Ozer N, Yorgun H, Sahiner L, Kaya E, Oto A, Muraru D, Piasentini E, Mihaila S, Padayattil Jose' S, Peluso D, Ucci L, Naso P, Puma L, Iliceto S, Badano L, Cikes M, Jakus N, Sutherland G, Haemers P, D'hooge J, Claus P, Yurdakul S, Oner F, Direskeneli H, Sahin T, Cengiz B, Ercan G, Bozkurt A, Aytekin S, Osa Saez AM, Rodriguez-Serrano M, Lopez-Vilella R, Buendia-Fuentes F, Domingo-Valero D, Quesada-Carmona A, Miro-Palau V, Arnau-Vives M, Palencia-Perez M, Rueda-Soriano J, Lipczynska M, Piotr Szymanski P, Anna Klisiewicz A, Lukasz Mazurkiewicz L, Piotr Hoffman P, Kim K, Cho S, Ahn Y, Jeong M, Cho J, Park J, Chinali M, Franceschini A, Matteucci M, Doyon A, Esposito C, Del Pasqua A, Rinelli G, Schaefer F, Kowalik E, Klisiewicz A, Rybicka J, Szymanski P, Biernacka E, Hoffman P, Lee S, Kim W, Yun H, Jung L, Kim E, Ko J, Ruddox V, Norum I, Edvardsen T, Baekkevar M, Otterstad J, Erdei T, Edwards J, Braim D, Yousef Z, Fraser A, Melcher A, Reiner B, Hansen A, Strandberg L, Caidahl K, Wellnhofer E, Kriatselis C, Gerd-Li H, Furundzija V, Thnabalasingam U, Fleck E, Graefe M, Park Y, Moon J, Ahn T, Baydar O, Kadriye Kilickesmez K, Ugur Coskun U, Polat Canbolat P, Veysel Oktay V, Umit Yasar Sinan U, Okay Abaci O, Cuneyt Kocas C, Sinan Uner S, Serdar Kucukoglu S, Ferferieva V, Claus P, Rademakers F, D'hooge J, Le TT, Wong P, Tee N, Huang F, Tan R, Altman M, Logeart D, Bergerot C, Gellen B, Pare C, Gerard S, Sirol M, Vicaut E, Mercadier J, Derumeaux GA, Park TH, Park JI, Shin SW, Yun SH, Lee JE, Makavos G, Kouris N, Keramida K, Dagre A, Ntarladimas I, Kostopoulos V, Damaskos D, Olympios C, Leong D, Piers S, Hoogslag G, Hoke U, Thijssen J, Ajmone Marsan N, Schalij M, Bax J, Zeppenfeld K, Delgado V, Rio P, Branco L, Galrinho A, Cacela D, Abreu J, Timoteo A, Teixeira P, Pereira-Da-Silva T, Selas M, Cruz Ferreira R, Popa BA, Zamfir L, Novelli E, Lanzillo G, Karazanishvili L, Musica G, Stelian E, Benea D, Diena M, Cerin G, Fusini L, Mirea O, Tamborini G, Muratori M, Gripari P, Ghulam Ali S, Cefalu' C, Maffessanti F, Andreini D, Pepi M, Mamdoo F, Goncalves A, Peters F, Matioda H, Govender S, Dos Santos C, Essop M, Kuznetsov VA, Yaroslavskaya EI, Pushkarev GS, Krinochkin DV, Kolunin GV, Bennadji A, Hascoet S, Dulac Y, Hadeed K, Peyre M, Ricco L, Clement L, Acar P, Ding W, Zhao Y, Lindqvist P, Nilson J, Winter R, Holmgren A, Ruck A, Henein M, Illatopa V, Cordova F, Espinoza D, Ortega J, Cavalcante J, Patel M, Katz W, Schindler J, Crock F, Khanna M, Khandhar S, Tsuruta H, Kohsaka S, Murata M, Yasuda R, Tokuda H, Kawamura A, Maekawa Y, Hayashida K, Fukuda K, Le Tourneau T, Kyndt F, Lecointe S, Duval D, Rimbert A, Merot J, Trochu J, Probst V, Le Marec H, Schott J, Veronesi F, Addetia K, Corsi C, Lamberti C, Lang R, Mor-Avi V, Gjerdalen GF, Hisdal J, Solberg E, Andersen T, Radunovic Z, Steine K, Maffessanti F, Gripari P, Tamborini G, Muratori M, Fusini L, Ferrari C, Caiani E, Alamanni F, Bartorelli A, Pepi M, D'ascenzi F, Cameli M, Iadanza A, Lisi M, Reccia R, Curci V, Sinicropi G, Henein M, Pierli C, Mondillo S, Rekhraj S, Hoole S, Mcnab D, Densem C, Boyd J, Parker K, Shapiro L, Rana B, Kotrc M, Vandendriessche T, Bartunek J, Claeys M, Vanderheyden M, Paelinck B, De Bock D, De Maeyer C, Vrints C, Penicka M, Silveira C, Albuquerque E, Lamprea D, Larangeiras V, Moreira C, Victor Filho M, Alencar B, Silveira A, Castillo J, Zambon E, Iorio A, Carriere C, Pantano A, Barbati G, Bobbo M, Abate E, Pinamonti B, Di Lenarda A, Sinagra G, Salemi VMC, Tavares L, Ferreira Filho J, Oliveira A, Pessoa F, Ramires F, Fernandes F, Mady C, Cavarretta E, Lotrionte M, Abbate A, Mezzaroma E, De Marco E, Peruzzi M, Loperfido F, Biondi-Zoccai G, Frati G, Palazzoni G, Park TH, Lee JE, Lee DH, Park JS, Park K, Kim MH, Kim YD, Van 'T Sant J, Gathier W, Leenders G, Meine M, Doevendans P, Cramer M, Poyhonen P, Kivisto S, Holmstrom M, Hanninen H, Schnell F, Betancur J, Daudin M, Simon A, Carre F, Tavard F, Hernandez A, Garreau M, Donal E, Calore C, Muraru D, Badano L, Melacini P, Mihaila S, Denas G, Naso P, Casablanca S, Santi F, Iliceto S, Aggeli C, Venieri E, Felekos I, Anastasakis A, Ritsatos K, Kakiouzi V, Kastellanos S, Cutajar I, Stefanadis C, Palecek T, Honzikova J, Poupetova H, Vlaskova H, Kuchynka P, Linhart A, Elmasry O, Mohamed M, Elguindy W, Bishara P, Garcia-Gonzalez P, Cozar-Santiago P, Bochard-Villanueva B, Fabregat-Andres O, Cubillos-Arango A, Valle-Munoz A, Ferrer-Rebolleda J, Paya-Serrano R, Estornell-Erill J, Ridocci-Soriano F, Jensen M, Havndrup O, Christiansen M, Andersen P, Axelsson A, Kober L, Bundgaard H, Karapinar H, Kaya A, Uysal E, Guven A, Kucukdurmaz Z, Oflaz M, Deveci K, Sancakdar E, Gul I, Yilmaz A, Tigen MK, Karaahmet T, Dundar C, Yalcinsoy M, Tasar O, Bulut M, Takir M, Akkaya E, Jedrzejewska I, Braksator W, Krol W, Swiatowiec A, Dluzniewski M, Lipari P, Bonapace S, Zenari L, Valbusa F, Rossi A, Lanzoni L, Molon G, Canali G, Campopiano E, Barbieri E, Rueda Calle E, Alfaro Rubio F, Gomez Gonzalez J, Gonzalez Santos P, Cameli M, Lisi M, Focardi M, D'ascenzi F, Solari M, Galderisi M, Mondillo S, Pratali L, Bruno RM, Corciu A, Comassi M, Passera M, Gastaldelli A, Mrakic-Sposta S, Vezzoli A, Picano E, Perry R, Penhall A, De Pasquale C, Selvanayagam J, Joseph M, Simova II, Katova TM, Kostova V, Hristova K, Lalov I, D'ascenzi F, Pelliccia A, Natali B, Cameli M, Alvino F, Zorzi A, Corrado D, Bonifazi M, Mondillo S, Rees E, Rakebrandt F, Rees D, Halcox J, Fraser A, O'driscoll J, Lau N, Perez-Lopez M, Sharma R, Lichodziejewska B, Goliszek S, Kurnicka K, Kostrubiec M, Dzikowska Diduch O, Krupa M, Grudzka K, Ciurzynski M, Palczewski P, Pruszczyk P, Gheorghe L, Castillo Ortiz J, Del Pozo Contreras R, Calle Perez G, Sancho Jaldon M, Cabeza Lainez P, Vazquez Garcia R, Fernandez Garcia P, Chueca Gonzalez E, Arana Granados R, Zhao X, Xu X, Bai Y, Qin Y, Leren I, Hasselberg N, Saberniak J, Leren T, Edvardsen T, Haugaa K, Daraban AM, Sutherland G, Claus P, Werner B, Gewillig M, Voigt J, Santoro A, Ierano P, De Stefano F, Esposito R, De Palma D, Ippolito R, Tufano A, Galderisi M, Costa R, Fischer C, Rodrigues A, Monaco C, Lira Filho E, Vieira M, Cordovil A, Oliveira E, Mohry S, Gaudron P, Niemann M, Herrmann S, Strotmann J, Beer M, Hu K, Bijnens B, Ertl G, Weidemann F, Baktir A, Sarli B, Cicek M, Karakas M, Saglam H, Arinc H, Akil M, Kaya H, Ertas F, Bilik M, Yildiz A, Oylumlu M, Acet H, Aydin M, Yuksel M, Alan S, O'driscoll J, Gravina A, Di Fino S, Thompson M, Karthigelasingham A, Ray K, Sharma R, De Chiara B, Russo C, Alloni M, Belli O, Spano' F, Botta L, Palmieri B, Martinelli L, Giannattasio C, Moreo A, Mateescu A, La Carrubba S, Vriz O, Di Bello V, Carerj S, Zito C, Ginghina C, Popescu B, Nicolosi G, Antonini-Canterin F, Malev E, Omelchenko M, Vasina L, Luneva E, Zemtsovsky E, Cikes M, Velagic V, Gasparovic H, Kopjar T, Colak Z, Hlupic L, Biocina B, Milicic D, Tomaszewski A, Kutarski A, Poterala M, Tomaszewski M, Brzozowski W, Kijima Y, Akagi T, Nakagawa K, Ikeda M, Watanabe N, Ueoka A, Takaya Y, Oe H, Toh N, Ito H, Bochard Villanueva B, Paya-Serrano R, Fabregat-Andres O, Garcia-Gonzalez P, Perez-Bosca J, Cubillos-Arango A, Chacon-Hernandez N, Higueras-Ortega L, De La Espriella-Juan R, Ridocci-Soriano F, Noack T, Mukherjee C, Ionasec R, Voigt I, Kiefer P, Hoebartner M, Misfeld M, Mohr FW, Seeburger J, Daraban AM, Baltussen L, Amzulescu M, Bogaert J, Jassens S, Voigt J, Duchateau N, Giraldeau G, Gabrielli L, Penela D, Evertz R, Mont L, Brugada J, Berruezo A, Bijnens B, Sitges M, Yoshikawa H, Suzuki M, Hashimoto G, Kusunose Y, Otsuka T, Nakamura M, Sugi K, Ruiz Ortiz M, Mesa D, Romo E, Delgado M, Seoane T, Martin M, Carrasco F, Lopez Granados A, Arizon J, Suarez De Lezo J, Magalhaes A, Cortez-Dias N, Silva D, Menezes M, Saraiva M, Santos L, Costa A, Costa L, Nunes Diogo A, Fiuza M, Ren B, De Groot-De Laat L, Mcghie J, Vletter W, Geleijnse M, Toda H, Oe H, Osawa K, Miyoshi T, Ugawa S, Toh N, Nakamura K, Kohno K, Morita H, Ito H, El Ghannudi S, Germain P, Samet H, Jeung M, Roy C, Gangi A, Orii M, Hirata K, Yamano T, Tanimoto T, Ino Y, Yamaguchi T, Kubo T, Imanishi T, Akasaka T, Sunbul M, Kivrak T, Oguz M, Ozguven S, Gungor S, Dede F, Turoglu H, Yildizeli B, Mutlu B, Mihaila S, Muraru D, Piasentini E, Peluso D, Cucchini U, Casablanca S, Naso P, Iliceto S, Vinereanu D, Badano L, Rodriguez Munoz D, Moya Mur J, Becker Filho D, Gonzalez A, Casas Rojo E, Garcia Martin A, Recio Vazquez M, Rincon L, Fernandez Golfin C, Zamorano Gomez J, Ledakowicz-Polak A, Polak L, Zielinska M, Kamiyama T, Nakade T, Nakamura Y, Ando T, Kirimura M, Inoue Y, Sasaki O, Nishioka T, Farouk H, Sakr B, Elchilali K, Said K, Sorour K, Salah H, Mahmoud G, Casanova Rodriguez C, Cano Carrizal R, Iglesias Del Valle D, Martin Penato Molina A, Garcia Garcia A, Prieto Moriche E, Alvarez Rubio J, De Juan Bagua J, Tejero Romero C, Plaza Perez I, Korlou P, Stefanidis A, Mpikakis N, Ikonomidis I, Anastasiadis S, Komninos K, Nikoloudi P, Margos P, Pentzeridis P. Poster session Thursday 12 December - AM: 12/12/2013, 08:30-12:30 * Location: Poster area. Eur Heart J Cardiovasc Imaging 2013. [DOI: 10.1093/ehjci/jet203] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Polat N, Yildiz A, Yuksel M, Bilik MZ, Aydin M, Acet H, Akil MA, Oylumlu M, Kaya H, Ertas F, Cil H. Association of Neutrophil–Lymphocyte Ratio With the Presence and Severity of Rheumatic Mitral Valve Stenosis. Clin Appl Thromb Hemost 2013; 20:793-8. [DOI: 10.1177/1076029613514131] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
The aim of the study is to investigate the association between the severity of rheumatic mitral valvular disease (RMVD) and the neutrophil–lymphocyte ratio (NLR). A total of 227 patients were enrolled in the study and divided into 3 groups. Patients in group 1 had rheumatic mitral stenosis (RMS), those in group 2 had RMVD without stenosis, and those in group 3 served as the control group. Group 1 was further divided into 2 groups, severe mitral stenosis (MS) and mild to moderate MS. The NLR was significantly higher in patients with severe MS when compared to those with mild to moderate MS ( P = .002) while lymphocyte count was lower ( P = .034). Using a cutoff level of 2.56, the NLR predicted severe RMS with a sensitivity of 75% and specificity of 74%. In conclusion, as an inexpensive, simple, and accessible marker of inflammation, the NLR may be useful in predicting the presence and severity of MS in patients with RMVD.
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Affiliation(s)
- Nihat Polat
- Department of Cardiology, Dicle University School of Medicine, Diyarbakir, Turkey
| | - Abdulkadir Yildiz
- Department of Cardiology, Dicle University School of Medicine, Diyarbakir, Turkey
| | - Murat Yuksel
- Department of Cardiology, Dicle University School of Medicine, Diyarbakir, Turkey
| | - Mehmet Zihni Bilik
- Department of Cardiology, Dicle University School of Medicine, Diyarbakir, Turkey
| | - Mesut Aydin
- Department of Cardiology, Dicle University School of Medicine, Diyarbakir, Turkey
| | - Halit Acet
- Department of Cardiology, Dicle University School of Medicine, Diyarbakir, Turkey
| | - Mehmet Ata Akil
- Department of Cardiology, Dicle University School of Medicine, Diyarbakir, Turkey
| | - Mustafa Oylumlu
- Department of Cardiology, Dicle University School of Medicine, Diyarbakir, Turkey
| | - Hasan Kaya
- Department of Cardiology, Dicle University School of Medicine, Diyarbakir, Turkey
| | - Faruk Ertas
- Department of Cardiology, Dicle University School of Medicine, Diyarbakir, Turkey
| | - Habib Cil
- Department of Cardiology, Dicle University School of Medicine, Diyarbakir, Turkey
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Yildiz A, Oylumlu M, Yuksel M, Aydin M, Polat N, Acet H, Akil MA, Bilik MZ, Kaya H, Ertas F. The Association Between the Neutrophil-to-Lymphocyte Ratio and the Presence of Ventricular Premature Contractions in Young Adults. Clin Appl Thromb Hemost 2013; 21:475-9. [PMID: 24203349 DOI: 10.1177/1076029613509478] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Inflammation has recently emerged in the pathogenesis of several cardiovascular disorders, including arrhythmias. The neutrophil-lymphocyte ratio (NLR) is a simple marker for the assessment of inflammatory status. Therefore, we aimed to investigate the relationship between the NLR and the ventricular premature contraction (VPC) existence. Patients aged between 18 and 40 years who were referred to the cardiology clinic were enrolled in the study. All patients' complete blood counts and 24-hour Holter recordings were analyzed. The NLR was higher within the VPC group compared to the control group (P < .001). According to the NLR tertiles, VPCs were more common in the higher NLR tertile (P < .001). A cutoff point of 1.80 for the NLR had 71% sensitivity and 60% specificity in predicting VPC in apparently healthy individuals. After multivariate analysis, only the NLR remained significant predictor of presence of VPC. In conclusion, the NLR is independently and significantly associated with VPC existence.
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Affiliation(s)
- Abdulkadir Yildiz
- Department of Cardiology, Dicle University School of Medicine, Diyarbakir, Turkey
| | - Mustafa Oylumlu
- Department of Cardiology, Dicle University School of Medicine, Diyarbakir, Turkey
| | - Murat Yuksel
- Department of Cardiology, Dicle University School of Medicine, Diyarbakir, Turkey
| | - Mesut Aydin
- Department of Cardiology, Dicle University School of Medicine, Diyarbakir, Turkey
| | - Nihat Polat
- Department of Cardiology, Dicle University School of Medicine, Diyarbakir, Turkey
| | - Halit Acet
- Department of Cardiology, Dicle University School of Medicine, Diyarbakir, Turkey
| | - Mehmet Ata Akil
- Department of Cardiology, Dicle University School of Medicine, Diyarbakir, Turkey
| | - Mehmet Zihni Bilik
- Department of Cardiology, Dicle University School of Medicine, Diyarbakir, Turkey
| | - Hasan Kaya
- Department of Cardiology, Dicle University School of Medicine, Diyarbakir, Turkey
| | - Faruk Ertas
- Department of Cardiology, Dicle University School of Medicine, Diyarbakir, Turkey
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Acet H, Ertaş F, Akıl MA, Oylumlu M, Polat N, Yıldız A, Bilik MZ, Yüksel M, Kaya Z, Ulgen MS. New inflammatory predictors for non-valvular atrial fibrillation: echocardiographic epicardial fat thickness and neutrophil to lymphocyte ratio. Int J Cardiovasc Imaging 2013; 30:81-9. [PMID: 24162180 DOI: 10.1007/s10554-013-0317-4] [Citation(s) in RCA: 44] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/22/2013] [Accepted: 10/18/2013] [Indexed: 11/30/2022]
Abstract
The objective of this study was to investigate the relationship of echocardiographic epicardial fat thickness (EFT) and neutrophil to lymphocyte ratio (NLR) with different types of non-valvular atrial fibrillation (AF) in a clinical setting. A total of 197 consecutive patients were enrolled in the study. Seventy-one patients had paroxysmal non-valvular AF, 63 patients had persistent/permanent non-valvular AF, and 63 patients had sinus rhythm (control group). EFT was measured with echocardiography, while NLR was measured by dividing neutrophil count by lymphocyte count. EFT was significantly higher in patients with paroxysmal non-valvular AF compared with those in the sinus rhythm group (6.6 ± 0.7 vs. 5.0 ± 0.9 mm, p < 0.001). Persistent/permanent non-valvular AF patients had a significantly larger EFT compared with those with paroxysmal AF (8.3 ± 1.1 vs. 6.6 ± 0.7 mm, p < 0.001). EFT had a significant relationship with paroxysmal non-valvular AF (odds ratio 4.672, 95 % CI 2.329-9.371, p < 0.001) and persistent/permanent non-valvular AF (OR 24.276, 95% CI 9.285-63.474, p < 0.001). NLR was significantly higher in those with paroxysmal non-valvular AF compared with those in the sinus rhythm group (2.5 ± 0.6 vs. 1.8 ± 0.4, p < 0.001). Persistent/permanent non-valvular AF patients had a significantly larger NLR when compared with paroxysmal non-valvular AF patients (3.4 ± 0.6, vs. 2.5 ± 0.6, p < 0.001). NLR (>2.1) had a significant relationship with non-valvular AF (OR 11.313, 95% CI 3.025-42.306, b 2.426, p < 0.001). EFT and NLR are highly associated with types of non-valvular AF independent of traditional risk factors. EFT measured by echocardiography and NLR appears to be related to the duration and severity of AF.
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Affiliation(s)
- Halit Acet
- Department of Cardiology, Faculty of Medicine, Dicle University, Diyarbakir, Turkey,
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Yıldız A, Tuncez A, Grbovic E, Polat N, Yuksel M, Aydin M, Oylumlu M, Acet H, Bilik MZ, Akil MA, Kaya H, Ertas F, Cebeci M. The Association between Neutrophil/Lymphocyte Ratio and Functional Capacity in Patients with Idiopathic Dilated Cardiomyopathy. J Am Coll Cardiol 2013. [DOI: 10.1016/j.jacc.2013.08.312] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Yıldız A, Akyuz A, Yuksel M, Oylumlu M, Bilik MZ, Polat N, Akil MA, Acet H, Aydin M, Inci U, Ulgen MS, Alan S, Toprak N. Assessment of Right Ventricular Systolic Functions in Patients with Chronic Renal Failure before and after Hemodialysis. J Am Coll Cardiol 2013. [DOI: 10.1016/j.jacc.2013.08.488] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Ertas F, Oylumlu M, Akıl MA, Acet H, Bilik MZ, Celepkolu T, Yildiz A, Kaya H, Alan S, Özhan H. Non-Valvular Atrial Fibrillation in the Elderly; Preliminary Results from the National AFTER (Atrial Fibrillation in Turkey: Epidemiologic Registry) Study. J Am Coll Cardiol 2013. [DOI: 10.1016/j.jacc.2013.08.210] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Yıldız A, Tuncez A, Polat N, Acet H, Oylumlu M, Yuksel M, Akyuz A, Aydin M, Bilik MZ, Akil MA, Ertas F, Kaya H, Elbey MA. Evaluation of Platelet to Lymphocyte Ratio to Predict No-Reflow in Patients With Acute Myocardial Infarction. J Am Coll Cardiol 2013. [DOI: 10.1016/j.jacc.2013.08.640] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Kaya H, Ertaş F, Oylumlu M, Bilik MZ, Yıldız A, Yüksel M, Polat N, Acet H, Işık F, Ülgen MS. Relation of Epicardial Fat Thickness and Brachial Flow-Mediated Vasodilation with Coronary Artery Disease. J Am Coll Cardiol 2013. [DOI: 10.1016/j.jacc.2013.08.095] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Polat N, Yıldız A, Oylumlu M, Kaya H, Acet H, Akıl MA, Yüksel M, Bilik MZ, Aydın M, Ülgen MS. The Relationship between RDW and the GRACE Risk Score with in Hospital Death in Non-ST Elevation Myocardial Infarction and Unstable Angina Pectoris. J Am Coll Cardiol 2013. [DOI: 10.1016/j.jacc.2013.08.078] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Yıldız A, Bilge O, Bilik MZ, Akil MA, Oylumlu M, Akin H, Altintas B, Yuksel M, Acet H, Polat N, Aydin M, Kaya H, Alan S. The Relationship between Serum Osteopontin Levels and Isolated Coronary Artery Ectasia. J Am Coll Cardiol 2013. [DOI: 10.1016/j.jacc.2013.08.659] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Yildiz A, Yuksel M, Oylumlu M, Bilik MZ, Acet H, Akil MA, Polat N, Aydin M, Ertas F, Kaya H, Islamoglu Y, Elbey MA, Cil H. Assessment of Platelet to Lymphocyte Ratio to Predict Stent Thrombosis in Patients with ST Elevation Myocardial Infarction. J Am Coll Cardiol 2013. [DOI: 10.1016/j.jacc.2013.08.651] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Polat N, Yildiz A, Oylumlu M, Kaya H, Acet H, Akil MA, Yuksel M, Bilik MZ, Aydin M, Ulgen MS. Relationship Between Red Cell Distribution Width and the GRACE Risk Score With In-Hospital Death in Patients With Acute Coronary Syndrome. Clin Appl Thromb Hemost 2013; 20:577-82. [PMID: 23943634 DOI: 10.1177/1076029613500707] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022] Open
Abstract
The aim of this study was to evaluate the relationship between red cell distribution width (RDW) and Global Registry of Acute Coronary Events (GRACE) risk score in patients with unstable angina pectoris (UAP) and non-ST elevation myocardial infarction (NSTEMI). We retrospectively enrolled 193 patients with UAP/NSTEMI (mean age 63.6 ± 12.6 years; men 57%) in this study. Higher RDW values were associated with increased in-hospital mortality (P = .001). There is a significant correlation between RDW and GRACE score (P < .001). In multivariate logistic regression analysis, RDW was found to be an independent predictor of high GRACE score (odds ratio: 1.513, 95% confidence interval: 1.116-2.051, P = .008). A cutoff value of >15.74 for RDW predicted high GRACE score, with a 64% sensitivity and 65% specificity. Our study results demonstrated that high RDW was an independent predictor of high GRACE score, and it is associated with in-hospital mortality in UAP/NSTEMI.
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Affiliation(s)
- Nihat Polat
- Department of Cardiology, Faculty of Medicine, Dicle University, Diyarbakir, Turkey
| | - Abdulkadir Yildiz
- Department of Cardiology, Faculty of Medicine, Dicle University, Diyarbakir, Turkey
| | - Mustafa Oylumlu
- Department of Cardiology, Faculty of Medicine, Dicle University, Diyarbakir, Turkey
| | - Hasan Kaya
- Department of Cardiology, Faculty of Medicine, Dicle University, Diyarbakir, Turkey
| | - Halit Acet
- Department of Cardiology, Faculty of Medicine, Dicle University, Diyarbakir, Turkey
| | - Mehmet Ata Akil
- Department of Cardiology, Faculty of Medicine, Dicle University, Diyarbakir, Turkey
| | - Murat Yuksel
- Department of Cardiology, Faculty of Medicine, Dicle University, Diyarbakir, Turkey
| | - Mehmet Zihni Bilik
- Department of Cardiology, Faculty of Medicine, Dicle University, Diyarbakir, Turkey
| | - Mesut Aydin
- Department of Cardiology, Faculty of Medicine, Dicle University, Diyarbakir, Turkey
| | - Mehmet Siddik Ulgen
- Department of Cardiology, Faculty of Medicine, Dicle University, Diyarbakir, Turkey
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Ertas F, Kaya H, Acet H, Cil H, Akyuz A, Islamoglu Y, Tekbas E, Ariturk Z, Aydin M, Soydinc MS. Increased echocardiographic epicardial fat thickness is related to impaired diurnal blood pressure profiles. Eur Heart J 2013. [DOI: 10.1093/eurheartj/eht310.p5661] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Kaya H, Ertaş F, Oylumlu M, Bilik MZ, Yıldız A, Yüksel M, Polat N, Acet H, Işık F, Ülgen MS. Relation of epicardial fat thickness and brachial flow-mediated vasodilation with coronary artery disease. J Cardiol 2013; 62:343-7. [PMID: 23810068 DOI: 10.1016/j.jjcc.2013.05.009] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/26/2013] [Revised: 05/09/2013] [Accepted: 05/11/2013] [Indexed: 11/29/2022]
Abstract
OBJECTIVE The purpose of this study is to investigate the presence of a statistical association between epicardial fat thickness (EFT) and coronary artery disease (CAD) and between flow-mediated vasodilation (FMD) and CAD. METHODS We measured the EFT and FMD in 64 subjects with suspected stable angina pectoris. The patients were separated into two groups according to their coronary angiography results: 34 patients with CAD and 30 patients with normal coronary arteries (NCA). RESULTS EFT was significantly higher in the patients with CAD than the NCA group (6.43 ± 0.90 mm vs. 5.35 ± 0.75 mm, p<0.001) while FMD was significantly lower in the patients with CAD than those in the NCA group (6.41 ± 2.51% vs. 8.33 ± 3.45%, p=0.015). No significant correlation was found between EFT and FMD. After adjustment for EFT, FMD, age, sex, ejection fraction, glucose, and low-density lipoprotein cholesterol through multivariate logistic regression analysis, EFT (odds ratio: 6.325, 95% confidence interval 2.289-17.476, p<0.001) and age (odds ratio: 1.093, 95% confidence interval 1.008-1.185, p=0.032) remained significant predictors of CAD. A cut-off value of EFT≥5.8mm predicted the presence of CAD with 77% sensitivity and 70% specificity. CONCLUSION An echocardiographic EFT assessment is independently associated with the presence of CAD. Thus, EFT may be helpful in cardiometabolic risk stratification and therapeutic interventions.
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Affiliation(s)
- Hasan Kaya
- Department of Cardiology, Dicle University, Faculty of Medicine, Diyarbakır, Turkey.
| | - Faruk Ertaş
- Department of Cardiology, Dicle University, Faculty of Medicine, Diyarbakır, Turkey
| | - Mustafa Oylumlu
- Department of Cardiology, Dicle University, Faculty of Medicine, Diyarbakır, Turkey
| | - Mehmet Zihni Bilik
- Department of Cardiology, Dicle University, Faculty of Medicine, Diyarbakır, Turkey
| | - Abdulkadir Yıldız
- Department of Cardiology, Dicle University, Faculty of Medicine, Diyarbakır, Turkey
| | - Murat Yüksel
- Department of Cardiology, Dicle University, Faculty of Medicine, Diyarbakır, Turkey
| | - Nihat Polat
- Department of Cardiology, Dicle University, Faculty of Medicine, Diyarbakır, Turkey
| | - Halit Acet
- Department of Cardiology, Dicle University, Faculty of Medicine, Diyarbakır, Turkey
| | - Ferhat Işık
- Department of Cardiology, Dicle University, Faculty of Medicine, Diyarbakır, Turkey
| | - Mehmet Sıddık Ülgen
- Department of Cardiology, Dicle University, Faculty of Medicine, Diyarbakır, Turkey
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